Quality and Performance Improvement Consultant - RN
Direct Jobs, Hines, IL, United States
Summary
The Quality and Performance Improvement (QPI) Consultant RN is responsible for working closely with assigned Service Line Leadership to develop and implement performance improvement plans and activities. They are accountable for providing leadership and guidance to develop, implement, refine and maintain a comprehensive quality management/improvement program. The QPI Consultant RN is responsible for trending and analyzing data and interpreting Joint Commission and other external agency standards.
Qualifications
Basic Requirements:
English Language Proficiency
In accordance with 38 U.S.C. 7403(f) — no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English
Graduate of a school of professional nursing approved by the appropriate accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE)
OR Individuals attending a master's level bridge program in nursing who have completed coursework equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program
Upon achievement of a State license — the individual may be appointed on a temporary basis and later converted to a permanent appointment upon successful completion and graduation from the bridge program
(Reference VA Handbook 5005 - Appendix G6)
OR In cases of graduates of foreign schools of professional nursing — possession of a current, full, active, and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing to warrant an appointment as a Nurse who has completed an associated degree/entry level Nursing education program
Credit for foreign nursing education higher than associate degree/entry level requires a formal degree equivalency validation from a recognized equivalency evaluation accepted by VA such as International Consultants of Delaware (ICD)
Current, full, active, and unrestricted registration as a graduate professional nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States — or the District of Columbia
Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education requirements — but do not possess the required licensure — may be appointed at the entry step of the grade and level applicable to the completed nursing education as a GNT on a 120‑day temporary appointment while actively pursuing licensure (may be extended up to two years on a case‑by‑case basis). NOTE: Grandfathering Provision — All persons currently employed in VHA in 0610 series and performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification
Grade Determinations: The following Scope – Education and Dimension criteria must be met in determining the grade assignment of candidates — and if appropriate — the level within a grade
The Dimension requirements (Practice – Veteran/Patient Driven Care – Leadership – Professional Development and Evidence‑Based Practice/Research) are detailed for each grade and level within the online assessment: https://apply.usastaffing.gov/ViewQuestionnaire/12947860
Grade/Level Scope Education Nurse I – Level I Deliver fundamental – knowledge‑based care to assigned clients while developing technical competencies
An Associate Degree (ADN) or Diploma in Nursing — with no additional professional nursing required
Nurse I – Level II Demonstrates integration of biopsychosocial concepts – cognitive skills and technically competent practice in providing care to clients with basic or complex
An ADN or Diploma in Nursing AND 1 year of specialized nursing experience equivalent to Nurse I – Level 1; OR a Bachelor of Science in Nursing (BSN) with no additional professional nursing experience required
Nurse I – Level III Demonstrates proficiency in practice based on conscious and deliberate planning
Self‑directed in goal setting for managing complex client situations
An ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I – Level 2
OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I – Level 2
OR a Master’s degree in nursing (MSN) and no additional professional nursing experience
OR a Master’s degree in a *related field with a BSN and no additional professional nursing experience
Nurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others
A BSN with 2 years of professional nursing equivalent to Nurse I – Level 3
OR an MSN with one year of specialized nursing experience equivalent to Nurse I – Level 3
OR a Master’s degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I – Level 3
OR a Doctoral degree in Nursing with no professional nursing experience
OR a Doctoral degree in a *related field with a BSN with no professional nursing experience
Nurse III Executes position responsibilities that demonstrate leadership – experience and creative approaches to management of complex client care beyond the immediate practice setting
MSN and 2 years of specialized nursing experience — one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III
OR a Master’s degree in *related field with BSN and two years of specialized nursing experience — one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III
OR a Doctoral degree in Nursing with one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III
OR a Doctoral degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III
*Note: Foreign education programs/degrees are not creditable as related degrees
Preferred Experience: Knowledgeable of Performance Improvement principles
Statistical processes including trend and comparative analyses
1 Year of Quality Management experience
Reference: For more information on this qualification standard — please visit https://www.va.gov/ohrm/QualificationStandards/
Physical Requirements: This position requires visual acuity — keen hearing — clear distinctive speech — and manual dexterity
The position requires potentially long periods of combined walking — standing — stooping — sitting — bending — pulling — and pushing
The incumbent must be a mature — flexible — sensible individual capable of working effectively in stressful situations — able to shift priorities based on needs of the organization
The incumbent who provides off‑site training may be required to travel occasionally
This position includes a level of physicality normally associated with duties performed by nurses such as direct patient care — and potentially long periods of walking — standing — sitting — moderate lifting — repeated bending — or kneeling.
Duties
Include — but are not limited to: Interpreting VHA handbooks and directives regarding quality management/performance improvement/patient safety issues; collaborating with the facility Patient Safety Officer; collaborating and assisting in system redesign processes; monitoring progress of reviews and follow‑action items to ensure completion in a timely manner
Coordinating and maintaining a comprehensive — organized — continuous readiness program to review and identify opportunities for improvement to achieve excellence in the delivery of healthcare
Assist in developing Quality Improvement processes to assure that all required information is procured and acted upon to meet the expectations of the facility — Joint Commission — VHA Headquarters — Office of the Medical Inspector — Office of Inspector General or other external organizations
Responsible for all directives and standards relating to the Quality Management program for areas within assigned responsibility
Assisting the Service Line and ensuring performance improvement processes are in place — follow‑up is conducted — and outcome reported
Conduct reviews to evaluate compliance with program regulations — policies and procedures and assist with the development of facility policies and procedures as appropriate
Assist in developing Quality Improvement approaches for standardizing system‑related procedures to minimize variation
Supports facility activities in the coordination and development of data collection and analysis techniques — primarily in the areas of specific Performance Measures and Performance Improvement indicators
VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary — regular salary increases — potential for performance awards; Paid Time Off: Up to 50 days of paid time off per year (26 days of annual leave — 13 days of sick leave — 11 paid Federal holidays per year); Retirement: Traditional federal pension (5 years vesting) and federal 401(k) with up to 5% in contributions by VA; Insurance: Federal health/vision/dental/term life/long‑term care (many federal insurance programs can be carried into retirement); Licensure: 1 full and unrestricted license from any US State or territory; Work Schedule: Monday‑Friday (8 hour tour between 0700 and 1730 — TBD after orientation); Compressed/Flexible: Not Available; Telework: Not Available; Virtual: This is not a virtual position
Relocation/Recruitment Incentives: Not Authorized; Permanent Change of Station (PCS): Not Authorized
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The Quality and Performance Improvement (QPI) Consultant RN is responsible for working closely with assigned Service Line Leadership to develop and implement performance improvement plans and activities. They are accountable for providing leadership and guidance to develop, implement, refine and maintain a comprehensive quality management/improvement program. The QPI Consultant RN is responsible for trending and analyzing data and interpreting Joint Commission and other external agency standards.
Qualifications
Basic Requirements:
English Language Proficiency
In accordance with 38 U.S.C. 7403(f) — no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English
Graduate of a school of professional nursing approved by the appropriate accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE)
OR Individuals attending a master's level bridge program in nursing who have completed coursework equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program
Upon achievement of a State license — the individual may be appointed on a temporary basis and later converted to a permanent appointment upon successful completion and graduation from the bridge program
(Reference VA Handbook 5005 - Appendix G6)
OR In cases of graduates of foreign schools of professional nursing — possession of a current, full, active, and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing to warrant an appointment as a Nurse who has completed an associated degree/entry level Nursing education program
Credit for foreign nursing education higher than associate degree/entry level requires a formal degree equivalency validation from a recognized equivalency evaluation accepted by VA such as International Consultants of Delaware (ICD)
Current, full, active, and unrestricted registration as a graduate professional nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States — or the District of Columbia
Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education requirements — but do not possess the required licensure — may be appointed at the entry step of the grade and level applicable to the completed nursing education as a GNT on a 120‑day temporary appointment while actively pursuing licensure (may be extended up to two years on a case‑by‑case basis). NOTE: Grandfathering Provision — All persons currently employed in VHA in 0610 series and performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification
Grade Determinations: The following Scope – Education and Dimension criteria must be met in determining the grade assignment of candidates — and if appropriate — the level within a grade
The Dimension requirements (Practice – Veteran/Patient Driven Care – Leadership – Professional Development and Evidence‑Based Practice/Research) are detailed for each grade and level within the online assessment: https://apply.usastaffing.gov/ViewQuestionnaire/12947860
Grade/Level Scope Education Nurse I – Level I Deliver fundamental – knowledge‑based care to assigned clients while developing technical competencies
An Associate Degree (ADN) or Diploma in Nursing — with no additional professional nursing required
Nurse I – Level II Demonstrates integration of biopsychosocial concepts – cognitive skills and technically competent practice in providing care to clients with basic or complex
An ADN or Diploma in Nursing AND 1 year of specialized nursing experience equivalent to Nurse I – Level 1; OR a Bachelor of Science in Nursing (BSN) with no additional professional nursing experience required
Nurse I – Level III Demonstrates proficiency in practice based on conscious and deliberate planning
Self‑directed in goal setting for managing complex client situations
An ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I – Level 2
OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I – Level 2
OR a Master’s degree in nursing (MSN) and no additional professional nursing experience
OR a Master’s degree in a *related field with a BSN and no additional professional nursing experience
Nurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others
A BSN with 2 years of professional nursing equivalent to Nurse I – Level 3
OR an MSN with one year of specialized nursing experience equivalent to Nurse I – Level 3
OR a Master’s degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I – Level 3
OR a Doctoral degree in Nursing with no professional nursing experience
OR a Doctoral degree in a *related field with a BSN with no professional nursing experience
Nurse III Executes position responsibilities that demonstrate leadership – experience and creative approaches to management of complex client care beyond the immediate practice setting
MSN and 2 years of specialized nursing experience — one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III
OR a Master’s degree in *related field with BSN and two years of specialized nursing experience — one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III
OR a Doctoral degree in Nursing with one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III
OR a Doctoral degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III
*Note: Foreign education programs/degrees are not creditable as related degrees
Preferred Experience: Knowledgeable of Performance Improvement principles
Statistical processes including trend and comparative analyses
1 Year of Quality Management experience
Reference: For more information on this qualification standard — please visit https://www.va.gov/ohrm/QualificationStandards/
Physical Requirements: This position requires visual acuity — keen hearing — clear distinctive speech — and manual dexterity
The position requires potentially long periods of combined walking — standing — stooping — sitting — bending — pulling — and pushing
The incumbent must be a mature — flexible — sensible individual capable of working effectively in stressful situations — able to shift priorities based on needs of the organization
The incumbent who provides off‑site training may be required to travel occasionally
This position includes a level of physicality normally associated with duties performed by nurses such as direct patient care — and potentially long periods of walking — standing — sitting — moderate lifting — repeated bending — or kneeling.
Duties
Include — but are not limited to: Interpreting VHA handbooks and directives regarding quality management/performance improvement/patient safety issues; collaborating with the facility Patient Safety Officer; collaborating and assisting in system redesign processes; monitoring progress of reviews and follow‑action items to ensure completion in a timely manner
Coordinating and maintaining a comprehensive — organized — continuous readiness program to review and identify opportunities for improvement to achieve excellence in the delivery of healthcare
Assist in developing Quality Improvement processes to assure that all required information is procured and acted upon to meet the expectations of the facility — Joint Commission — VHA Headquarters — Office of the Medical Inspector — Office of Inspector General or other external organizations
Responsible for all directives and standards relating to the Quality Management program for areas within assigned responsibility
Assisting the Service Line and ensuring performance improvement processes are in place — follow‑up is conducted — and outcome reported
Conduct reviews to evaluate compliance with program regulations — policies and procedures and assist with the development of facility policies and procedures as appropriate
Assist in developing Quality Improvement approaches for standardizing system‑related procedures to minimize variation
Supports facility activities in the coordination and development of data collection and analysis techniques — primarily in the areas of specific Performance Measures and Performance Improvement indicators
VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary — regular salary increases — potential for performance awards; Paid Time Off: Up to 50 days of paid time off per year (26 days of annual leave — 13 days of sick leave — 11 paid Federal holidays per year); Retirement: Traditional federal pension (5 years vesting) and federal 401(k) with up to 5% in contributions by VA; Insurance: Federal health/vision/dental/term life/long‑term care (many federal insurance programs can be carried into retirement); Licensure: 1 full and unrestricted license from any US State or territory; Work Schedule: Monday‑Friday (8 hour tour between 0700 and 1730 — TBD after orientation); Compressed/Flexible: Not Available; Telework: Not Available; Virtual: This is not a virtual position
Relocation/Recruitment Incentives: Not Authorized; Permanent Change of Station (PCS): Not Authorized
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